‘If one doesn't happen, the other will’: forensic mental health service patients’ experiences of co-occurring self-harm and aggression

BJPsych Open, Год журнала: 2025, Номер 11(1)

Опубликована: Янв. 1, 2025

Background Co-occurring self-harm and aggression (dual harm) is particularly prevalent among forensic mental health service (FMHS) patients. There limited understanding of why this population engages in dual harm. Aims This work aims to explore FMHS patients’ experiences harm how they make sense behaviour, with a focus on the role emotions. Method Participants were identified from their participation previous study. Sixteen patients lifetime history recruited two hospitals. Individuals participated one-to-one, semi-structured interviews where reflected past and/or current aggression. Interview transcripts analysed using reflexive thematic analysis. Results Six themes generated: as emotional regulation strategies, consequences witnessing harmful behaviours, relationships others self, trapped within criminal justice system, convergence divergence aggression, moving forward an patient. Themes highlighted shared risk factors across participants, including dysregulation, perceived lack social support behaviours. underlined duality primarily utilising both regulate negative These behaviours also fulfilled distinct purposes at times (e.g. punishment, defence). The impact contextual FMHSs, restrictive practices institutionalisation, emphasised. Conclusions Findings provide recommendations that can help address settings, (a) transdiagnostic, individualised approaches consider aggression; (b) cultural organisational recovery-centred practice.

Язык: Английский

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Navigating Dual-Harm: Integrating Self- and Other-Harm Into Public Health Inquiry

American Journal of Public Health, Год журнала: 2025, Номер 115(4), С. 596 - 604

Опубликована: Март 12, 2025

Dual-harm, the co-occurrence of self- and other-harm, recognizes overlap between these outcomes aggressive behavior their potential shared causes. Little progress has been made in preventing responding to dual-harm broader population, it remains understudied public health research. We posit that scientific investigation would greatly benefit from application principles methods. In this essay, we operationalize as a problem identify gaps knowledge, addressing its conceptual definitional issues, prevalence estimates, methodological considerations, theoretical foundations, risk factors, prevention strategies. also offer series recommendations advance study challenge notion conflating nonfatal with homicide-suicide part continuum, arguing they are distinct phenomena. need for epidemiological studies characterize those engaging better understand mechanisms outcomes, focusing on adolescence critical developmental period. Future should develop, implement, evaluate targeted intervention preventive efforts individuals involved or at dual-harm. ( Am J Public Health. 2025;115(4):596–604. https://doi.org/10.2105/AJPH.2024.307940 )

Язык: Английский

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Dual harm among patients attending a mental health unit in Uganda: a hospital based retrospective study

BMC Psychiatry, Год журнала: 2024, Номер 24(1)

Опубликована: Фев. 22, 2024

Abstract Background Dual harm encompasses the complex interplay of co-occurrence self-harm and aggression. Individuals with dual may display a more hazardous pattern harmful behaviors like homicide-suicide compared to people sole harm. This study aimed examine presence among general psychiatry inpatients in mental health unit Uganda. Methods A retrospective chart review 3098 from January 2018 December 2021. reported experience at admission was based on experiences or property both. Logistic regression assessed association between sociodemographics clinical characteristics. Results total 29 (1%) patients experienced harm, five having both others property, 23 people, one property. statistically significantly associated male gender bivariate analysis. However, there were no significant factors multivariate analysis sensitivity specific types Conclusion General Uganda before lower prevalence than previous literature. investigated sociodemographic could explain these experiences. Further studies looking are warranted understand unfortunate serious consequences

Язык: Английский

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The impact of childhood trauma on Adolescent Depressive Symptoms: the Chain Mediating role of borderline personality traits and self-control

BMC Psychiatry, Год журнала: 2024, Номер 24(1)

Опубликована: Май 21, 2024

The adolescent depression associated with childhood trauma has been confirmed, but the underlying mechanisms remain unclear. This study aims to explore chain-mediated role of borderline personality traits and self-control in relationship between depression.

Язык: Английский

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